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Individual

TIMOTHY L MCINTIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3011 HAMPTON AVE, SUITE 200, BRUNSWICK, GA 31520-4264
(912) 261-2669
(912) 261-0561
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8781

Taxonomy

Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
026795
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
026795
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
862381993A
GA
01
969400
BSGA
GA
Enumeration date
11/20/2006
Last updated
05/20/2008
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